hearing. before it comes to us, it has to go to director's hearing. part of that, kind of like this view of how long does it take, how many nov's are held for a year, 2 years, before it even gets to direct hearing? >> we'll try to get those statistics for you. a lot of these cases as you well know, once it goes to planning, it can be years in the process. a lot of nov will be complied in within 15-60 days. violations can take 3 years. we are well aware of that. it's up to code enforcement. they review all the notices of violations that are up in code enforcement. they are picking up the notices of violation that they feel should come up to directors

hearing. that's how they prioritize it. they look at them and see which one is the most pertinent to bring up to a hearing. anyone want to comment on that? >> when presenting numbers, it's a huge challenge to try and take any particular criteria, how do you present it because would it take for instance the director's hearing there. those numbers reflect four hearings a month, particular exact addresses that appear on each of those 4 days for that month. but, even within those numbers, you take a particular case at the start of the month, it would show up in the first director hearing

for that month as scheduled, but if it was continued for 3 weeks and a month, that same case would show up at the end of the month as a continued case and it might finish up with an order of abatement. so whenever you look at the numbers, like you kind of have to get your head around that the numbers, you are not looking at the same address each time. in some cases you are looking at a case that came onto the system over a period of the month. it could be, get a first notice of violation and by the end of the month, a permit is issued and signed off and closed. in another situation you can have a particular case, a new complaint opened at the start of the

month, it might get a first and second notice because it was a life safety issue and it's up to a code enforcement for hearing. the challenge every time is, you know, are you looking at fixed numbers on a particular day, are you looking at fixed addresses. so there is always this big struggle. like the numbers you gave earlier, it gave a large number over 10-year period. so, how can we best present numbers that kind of makes sense to you, that's the big challenge. >> i guess what i'm looking for is movement. so to me, it's possible especially if we kick something to planning that it's on them. i think the frustrations that i have heard

from both tenants who issue complaints and landlords is they should know where is the movement? so if it comes to us, if we issue an nov, then i feel like we need to move on it whether it's movement towards resolution or movement up further to, you know, to director's hearing or whatever. because that's been kind of the frustration from whether it's a building owner with violations or whether it's a tenant who complained and then our housing division issued a violation. is that they didn't get the sense that there is movement. so sometimes there is not just the time, but as long as they feel it's moving, then, it's less of a mystery or stress about it. >> two things that have happened in that front over the

last few months. dan has instructed that we assign one inspector in full time and code enforcements cleaning up the abatement language for a while and maybe in a position to close the case. but it brought us the sign -- we want to spend full time doing that and over the last few months where the abatement was issued and the case could have been closed but we weren't aware because it wasn't brought to our attention. the other thing that has happened is our staff has been increased in code enforcement. the number of guidance dealing with complaints in the third floor have gone from 1-2. what's happening now is cases that are getting a second order have come to us quicker. we get a staff received for healing.

over the next few months when this report continues, you are going to see cases going from first to second quicker, going to hearings quicker and issued quicker and having the $52 fear where property owners when they realize they are going to pay an on going fee every month, they are going to resolve their cases quicker. cases go from start to finish at a quicker cycle. i think tenant direction has initiated a lot of these and you are going to see a shorter cycle from beginning to end. >> it kind of talks back to where the commissioner lead the data because i'm with you, now that we have this data, we might be able to see that movement that we are talking about. >> of course we have old cases. they are just like the cases

you heard this morning. they are very difficult. you have one owner and you have a tenant, they don't have access, there is eviction and they might have to do this work, there is death in the family, there is sickness and a lot of problems we have to deal with all the time. we use our direction is. a -- discretion. we get compliant but it takes time. when they have hardship involved we want to work with them. we don't just want to crucify them. >> we are going to have to be smarter in how we approach these nov's and start categorizing them as we understand them as those types of situations where you can't move them period. i think this is where this is going. the conversation is going to continue. thank you deputy director for bringing that and acting director for putting that together. we look forward

to seeing that on a regular basis. >> we look forward to putting that in the data that you need. >> thank you. >> any public comment on items or the director's report 12 a through 12 b? seeing none, item 13, commissioner questions and matters. at this time commissioners may make inquire easy to staff regarding documents, policies and practices and procedures which are of interest. >> mr. chairman, i wonder if there is any particular celebration of miss levine's leaving us and if we'll be invited to the celebration? >> i will let you all know. >> you are mind reading today.

>> good morning, i'm gail rebels. i'm the acting financing manager. you will get an invitation. there is an e-mail going out today. >> item 13 b future meetings and agendas. at this time the commission may discuss to set action on a meeting and decide to place items on the agenda of those meetings. as was mentioned earlier, our next regular meeting is on september 18th. however we are having special meetings on september 5, 9:00 a.m.. >> i just want to reinforce all of our commissioners will be available on those dates oovment one of

>> one of the dates, our commissioner cannot make the 10th. >> do we have the hours set? >> yes. we have the room basically for up to 3 hours. but we are assuming the meeting will take about 2. >> it starts at 9? >> the september 5th is 9:00 a.m. and september 10th, 1:00 p.m.. >> we are still working out the details on the location. >> the location is in this room. >> we'll open the meeting there. >> okay. thank you. >> is there any public comments on items 13 a and b? >> seeing none. item 14. review and approval of the minutes of the regular meeting of may 15, 2013. is there a motion to

approve? >> so moved. >> second. >> motion was commissioner mar, who did the second? commissioner clinch. thank you. all commissioners in favor? >> aye. >> any opposed? any public comment? seeing none, the minutes of may 15th, are approved. i would like to request to please continue item 15 at our next regular meeting on september 18th? and then the next last item is item 16, adjournment. is there a motion to adjourn? >> so moved. >> second? >> second. >> are all commissioners in favor? >> aye. >> any opposed? we are adjourned. it is 1:35 p.m..

>> thank you. >> >> >> >> >> health service board is now in order. please stand for the pledge. i pledge allegiance to the flag of the united states of america, and to the republic for which it stands; one nation under god, indivisible, with liberty and justice for all. >> madam secretary, roll call, please. >> roll call. president breslin? >> here. >> vice president lim?

>> present. >> supervisor farrell excused. commissioner fraser? >> here. >> commissioner fraser excused. commissioner scott sf >> here. >> commissioner shlain? >> here. >> we have a quorum. >> thank you. ~ item number 1, please. >> item 1, action item, approval (with possible modifications) of the minutes of the meeting set forth below. regular meeting of june 13th, 2013 combined with rates and benefits committee. >> are there any corrections? no corrections. >> i move adoption of the minutes as distributed. >> i second. >> any public comment on this item? having none, all those in favor? >> aye. >> opposed? it's unanimous. >> item number 2. >> item 2, discussion item, president's report, president breslin.

>> we are now on sfgov-tv, channel 26 and 78, i believe. and we want to thank sean tai who prior to this has done the videos for the board meeting. and would you please come up to the podium? thank you. the health service board would like to thank sean tai the founder of zty media for his excellent service documenting health service board meeting since october 2010. we commend shane for his professional dedication and technical expertise. this creation of the hss youtube channel has provided meeting access to hss members, elected officials, news media, and others who could not attend in person. these recordings were also used to document requests and questions posed by the board and public comment. in addition to his work for

hss, we would like to acknowledge sean's commitment to the oakland digital arts and literary center, a nonprofit that empowers students and small businesses in undeserved communities to succeed in the digital economy. we encourage sean tai and zty media to be among the vendors that bid on other digital video services proposals issued by health service system. the members of the health service board wish sean tai the best of luck in his future and professional endeavors. thank you. >> thank you very much. >> thank you. (applause)

>> also, as you know -- probably know by now, the board of supervisors recently passed a resolution requesting that kaiser improve transparency on rates and rate setting. they also requested that our board and staff build upon their process of consulting with public employee unions and hss retirees. we do want transparency from all insurance providers. the resolution specifically requests kaiser to do so. the city charter gives the health service board exclusive negotiating rights and also states that we must supply benefits without special favor or privilege. the resolution [speaker not understood] retirees public employee unions. however, we are responsible to all members of the system. we are planning at our september meeting and then maybe october also to dedicate

an agenda item for information and input from our members so that they can introduce and formulate objectives well in advance of the rates and benefits deadline. so, encourage everyone to attend and to spread the word. and lisa will be talking more about this in her director's report. thank you. and that's all i have on this report. is there any public comment? seeing no public comment, item number 3. >> item 3, discussion item, director's report, lisa ghotbi. >> good afternoon. lisa ghotbi, acting director of the health service system. july was a busy month for us. i think i have just a few things to review. we are interviewing for the cfo position and we expect to fill this position by september. that's really good news for us. once again, we want to thank

our interim cfo gregg sass who has not only helped us with the interview process, but has helped us get ready for the audit that's upcoming and will help the new cfo who comes in with her -- his or her transition. we are also working on -- we just posted the wellness [speaker not understood] yesterday and we are working on posting other clients -- contracting compliance manager position within the next few days and we have a few other positions that we're in the process ofing. we have several new positions. it will be a busy fourth quarter hiring and bringing new folks up to speed. ~ posting in the operations department we've been quite busy with several activities, some of them in terms of focusing on 2014 open enrollment. the emerge, working with emerge consultants to rebuild the flux credit product for mea and executives and we are i think a good probably 70% of the way down the road for that. so, we should be fine for open enrollment.

we also responded really within three hours of the supreme court ruling on doma to communicate on interpretation to our members. we were getting questions immediately on that, and there is some report on that end. the operation powerpoint presentation will review same sex domestic partners to ensure any married couples in the system will now have the same benefit for pretext coverage for all other family members. we reviewed member files to determine if any same sex partnerships had previously submitted the marriage certificates to hss and if so we changed the family status from domestic partner to married effective the next available coverage period. so the staff was very proactive and we immediately began receiving marriage certificates from those who had not already submitted them to hss. we will also be moving to the third floor. there is a move and we've delayed that until december 1st until after open enrollment so

we're looking forward to that and to also have a wellness center opening on the first floor of 1145 market. and also wanted to point out that it was a very busy month for retirement in the health service system. we processed over 7 45 retirement applications between may and july 1st. so, significantly more than our average of about 40 a month. so, very busy for retirement and congratulations to all the city employees who retired. in the communications department, we've been very busy working on the benefit guides which will be going to print shortly. the theme for this year is partnership help and also we've completed a communication strategic plan which will be presented to the board at the next meeting and we'll be starting this rfp to help us fulfill that plan in the fourth quarter. our finance team has been working on building the rates

and also preparing for the audit which will be starting next week. and in rates and negotiations we wanted to let you know that many of the unions have accepted the city offer for the flat contribution model and that model is going to be 93, 93 83 which means that the employer contribution for an e only is 93% for the e plus 1 is 93%, and for the family is 83%. that was done by the deadline of july 31st, 2013. please note the typo, not 2012. that was done as of july 2013. so, those numbers and those unions will receive a subsidy for 2014 and hss had a lot of meetings with unions and to help explain exactly what that would mean for them and there is an attached memo that we prepared for the unions laying out the numbers for them to see that's attached in your binder.

under wellness, also very busy time for wellness. we've been doing biometric screenings and had a very successful one coordinated about a week and a half ago. 267 employees in the hall of justice participated in biometric screening. in addition, there was also a biometric screening at department of human resources, department of economic and work force development in may. that screened an additional 58. so, this is a very popular offering and we're looking to extend it and continue those in fourth quarter of this year and into next year. also, margaret has a very aggressive campaign for flu shot vaccinations. we have i think over 12 sites already set up for flu shots for the october and early november time frame. we have a new department in hss called the analytics and a new data analytics manager who has been on the job for about a little over a month, is very busy and working on -- she did most of the modeling on the

contribution model work for the unions and has done some work on our wellness initiative as well. meetings have very busy month for meetings with both kaiser on multiple occasions with director dodd participating and also with the board of supervisors meeting with them individually on multiple occasions. also attached is some news articles that have occurred in july around the kaiser rate renewal and the links to the committee meetings from the board of supervisors. so, if there are any questions. that concludes my report. >> any public comment on this item? come forward. thank you, president breslin. [speaker not understood], former member of

your board and now representing the seiu retirees. my concern actually is one with regard to actives. i think more than retire tire aloes, but the actives and early retirees, not so much the medicare retirees. ~ and that's the issue with the 93, 383. what i notice is that in that memo and the delineation of the rates that the plan 1 rates seem to be significant, especially by year 2015 where we go from $320 a month for employee only in 2014 to 925. if it was 9 to 10, but it goes from $4 in 2014 to 7.79 in 2015 which is a massive rate increase. and what we've noticed over the years when i sat on the board was that there was significant migration from plan 1 as those

rates were no longer subsidized. there was a time when this board subsidized those rates because it is, in fact, the plan that you own. and money in the trust fund was used because the trader gives the health service board money to go out and purchase plans. and if you get the money -- if you get the plan for less than the city's contribution in those days, that was money that you could spend for other plans. and we used to do it for plan 1. and my concern in seeing those rates is that i would like -- i would like this board to consider perhaps subsidizing at maybe 50% to be able to stabilize those rates across the board. there aren't all that many members that are active in early retirees in plan 1 remaining any more, and i think these rates will absolutely scuttle the plan. and it is your own self-insured

and self-funded plan. it's what you own. it's what you need to keep competitive. and the last group of people are clearly going to migrate out. and all of the other sf including the vast subsidizing of the risk factor for blue shield where again the trust fund is taking that risk is all aimed at preventing migration. and i think that it is something that you might consider because i think it is a great concern to see those rates go, especially from $4 to 7.79 from a thousand 78 to 1500 and from 2000 to over 2300. ~ so, thank you very much and i hope that you consider subsidizing. >> thank you. >> president breslin? >> yes. >> i wanted to acknowledge the importance of that question and to also state that plan 1 has been a plan for hss since hss has existed in the '40s and we are dedicated to bringing an

alternative model to the board that will save that plan and actually help turn it into a healthy plan again. so, that will be coming forward during the rates and benefits. actually in december so the board can give us direction on whether that is something to pursue for the rates and benefits. hello, my name is gail bloom and i'd like to talk about plan 1. i don't know if this is the right time. i have a problem with plan 1 and i'd be happy to hold the question till later in the agenda when it looks like you have open discussion about the different plans. >> up to you. well -- >> yeah, you can say something now about it. it's about plan 1. if you want to hear it now, i'd be happy to bring it up. >> maybe you could talk to the staff. i have talked to your staff. >> okay. and they told me to come to the commission meeting, to the board meeting.

i'd be happy to hold the thought. okay, i'm here because i'm an early retiree in plan 1 and i'm actually not getting any of the service that i had contracted for, particularly for my out of network payments or out of network coverage. i have a -- i am covered by medicare. and what i understand is irrespective of the medicare coverage, for my out of network payments or coverage -- excuse me, i'm really nervous. it should be at the 50% of the ucl rates. is that correct? as i'm understanding it? yes, okay. what united is telling me now is they will only cover 50% of what a medicare physician would cover if i were seeing a

medicare physician. but i am not seeing medicare physicians and, so, for example -- excuse me -- i see a doctor who charges $225 for a visit. so, rather than paying me 50% of $225, united is now paying me $37. which, if that continues, i can no longer see my physician and i would like to be -- change policies or out of the open enrollment period if i can no longer see my physician. and paying $1700 a month for the privilege of seeing an out of plan provider. so, i'm kind of stuck between a rock and a hard place and i was hoping that the commission or the board would be able to help me get to the bottom of this. and i have gotten a lot of correspondence from them that that's all that they'll pay. >> i'd like to have our manager

of member services, mitchell gray. i'd like to have him work with you on that. i've got paper. >> okay, fine. >> thank you. [speaker not understood], retired and active firefighters. i'd like to basically piggyback on what claire said regarding these rates, but also add to the city leaving themselves open for discrimination suits. if i'm a single person and i have to pay any amount of money for my health care, i'm turning around and saying i want the same benefit this person with two kids is getting because that's a benefit they're getting. and if i'm not getting that same benefit in monetary amount, then i am being discriminated against because why should somebody just because they're married get more benefits?